HomeMy WebLinkAbout16-17219 t , �
CITY OF ZEPHYRHILLS
, • 5335-8TH STREEI"
. • t$is��so-aozo 17219
BUILDING RERMIT
PERMIT INFORMATION L(JCATION INFORMATION
Permit Number: 17219 Address: 5536 6TH ST
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: AQDlALT COMMERCIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESiDENTIAL Lot(s): Block: Section:
Square Feet: Subdivisian: C1TY OF ZEPHYRHILLS
Est.Value: Parcel Number: 11-26-21-0010-06500-0190
Imprav. Cost: 30,000.00 OWNER INFORMATION
Date tssued: 410 612 0 1 6 � Name: MORROW SUSAN
Totai Fees: 437.50 Address: 7951 PONDS EDGE LN
Amount Paid: 437.50 ZEPHYRHILLS FL 33540-1973
Date Paid: 4/22/2016 Phone: `
Work Desc: EXTEND FOR OF'FICE REMQVE AWNlNG 45 X8- per tadd stay within awning area
CONTRACTOR S APPLiCATIt3N FEES
SUN STATE ALUMINUMN BUILDING FEE 277.50
JA111]ES O MORTQN EL�CTR[C CC}.,INC. EI�ECTRICA� FEE 60.00
BAHR'S PROPANE GAS &A/C, INC. MECHANICAL FEE 60.00
FIRE PI.AN REVIEVi/ F�ES 25.00
CONTRACTOR CHANGE 15.00
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tns ections Re uired
F TER � 2 OU PL MISC lNS Tl0 CElL
F04TER BQND DUCTS[NSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER lNSULATIdN WALL MlSC.
DllCTS(NSTAL�ED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTIQN POLE FRRI111E Pi11SC. M(SC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local governmenfi shall impase a fee of faur times the amaunt of the fee impased for the initial inspectian or
first reinspection,whichever is greater,for each such subsequent reinspec#ion.
NOTICE: In addition to the requirements of this permit, there maybe additiana! restrictians applicable to this property that
may be faund in the public records of this caunty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"iNarning to owner; Your failure to recard a natice af commencement may result i»your paying twice for
improvements ta your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your natice of cammencement."
Complete Plans, Specifications Must Accompany Application. All wark shall be pertormed in accordance with
Ci Codes ared Ordinances. NO OCCUPANCY BEFQRE C.O.
NO OCCUPANCY BEFORE C.O.
� �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi M4NTHS 1NITHflUT APPRtJVED INSPECTIBN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRt)TECT CARD FR8t++1 WEATHER
� � � PROPANE G1�►S
, A1�ID AIC �[vc.
�iitce�988 813-782--�v0�3
4441 Allen Road—Zephyrhills, FL 33541
Apri122, 2016
City of Zephyrhills
Building Department
RE: 5536 6�' St.
Zephyrhills, FL 33542
Please make the following changes on the Mechanical Permit for the following above noted
address. Remove AirTech A/C and replace them with Bahr's Propane Gas &AC Inc.
Direct an��questions or concerns regarding this request to Kevin J Bahr.
Thank you,
� ,
���u��
Jaime L Misener
Agent for Bahr's Propane Gas &AC Inc.
. � , _
� � .. PROPANE GAS � � � �
Service Order/Pro�osal
�� s AND AIC tNc. Air Con�tio ing�Heating
; .
�ia�e�98�,— �� 8 i 3-782-50�3 �t, U Z�
Sales, Service & Installations _ woRN. ORL�ER#/SERVTCEh'IAI� ��4��.� �AR
4441 Allen,Rd. • Zephyrhills, FL 33541 DATE/T I I�E TAN,E� �4•/�:i l i E, ��o��
�P�2!)2G � � Tr�NE� �v �,o aa ��
NOTES: DATE/T:[�IE F�R0�1:[SED
• GUSTDMER#/LOGATI01� 1�441
F'H��IE# 81,�-779-4�t2�►
ROUTE/SEG! MAR.:,�54�
SIJN57ATE T 2 TLC AGENCY SUhISTATE T I TLE AGEI�ICY
5�..:,E 6TH ST �53E E�TH ST
ZEF'HYRHILLS FL �•354� �EF'HY�dHILLS FL�3�42
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;:��;.,,- --`z,, - - _ Y� - _9s!P,�:-_ - _ �,�;,- - Pressures Lo HI TStat i i
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, FILTERS x x Changed Monthly I I
• FILTERS x x Changed Monthly � �
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❑ REGULAR ❑WARRANTY = =_�r�TOTAL�SUMNII�E2�f:<'�;'':�z,._,`:;-
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LIMITED WARRANTY:�All materials,parts and equipment are wartanted by the manuFacturers' f;;;e;:a�T rY-;j�j��jOD�OF PAYMENT:�:=':_=�'-�:-=4y�° �
or suppliers'written warranty only.All labor perfortned by the above named company is wartanted for ''`���=-�` ''���"`�="�'"r= 'y= � � - TOTAL i
30 days or as othenvise indicated in miting.The above named company makes no other warranties, ❑CASH ❑CK# MATERIALS i
express or implied,and its agents or technicians are not authorized to make any such warranties on
behalfofabovenamedcompany. ❑DEBIT ❑CREDIT ❑OTHER MAINTENANCE �
I have euthority to order the work oullined above which hes been satisfactorily completed.I agree that Sellar
PROG. W I C �
retains tiUe to equipmenUmaterials fumished untll final payment is made.If payment is nat made as agreed, CLAIM# I—`
seller can remove said equipmenUmaterials at Sellets expense.My damage resulting from said removal shall FJO
not be ihe responsibility of Seller.NET 30 DAYS.A 1 1l2%SERVICE CHARGE WILL BE AODED MONTHLY TO Q v N'�'ZD� r -
ALL UNPAID BALANCES OVER 30 DAYS.NO REFUNDS DATE COMPLETED
TAX �
TECH: i
CUSTOMERSIGNATURE pq7E ✓� ✓au TOTAL 2 7���
CITY OF ZEPHYRHILLS
• 5335-8TN STREET
. . � (813}780-0020 17219
BUILQING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17219 Address: 5536 6TH ST
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Ciass of Work: ADD/ALT COMMERClAL Township: Range; Book:
Proposed Use: SINGL.E FAMILY RESIDENTIAL Lot(sj: Btock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Va[ue: Parce) Number: 11-26-21-0010-06500-0190
Imprav. Cast: 30,OQ0.00 OWNER INFORMATION
Date lssued: 4106/2016 Name: MflF2ROW SUSAN
To#al Fees: 422.50 Address: 7951 PONDS EDGE LN
Amount Paid: 422.5Q �EPNYRHlLLS FL 3354Q-1973
Date Paid: 4/Q6/2016 Phone:
Work Desc: EXTEND FC7R OFFICE REM(�VE AWNlNG 45 X8- per todd stay within awning area
CONTRACTOR S APPLICATION FEES
SUN STATE ALUMINUMN BUILDING FEE 277.5Q
JAMES O MC}RTflN E�ECTREC C{J.,INC. EL.ECTRICA� FEE 60.00
AIR TECH SERVICES OF PA5C0 INC MECHANICAL FEE 60.00
F1RE PLAN REVIEW FEES 25.40
�D���
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Ins ections Re uired �
F T R 2N ROU PL MIS T O CEIL G
FOOTER BOND DUCTS ENSUTATED SEWER N11SC.
RQUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGN PLUMB PRE-METER INSUI.ATiQN WALL MlSC.
DUCTS INSTAILED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRllCTIQN POLE FRAME MISC. tuIiSC.
REINSPECTION FEES: (c)Wifih respect ta Reinspection fees will comply with Florida Statute 553.80(2)(c)the
locai gavernment shati impose a fee of faur times the amount af the fee imposed for the initial inspectian or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE. In addition to the requirements of this permit, there maybe additianal restrickions applicable to this praperty that
may be found in the public recards af this county, and there may be additianai permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning ta owner: Your failure to recard a natice af cammencement rnay result in your paying twice for
impravements#a your property. If you intend to obtain financing,consult with your lender or an attorney
before recording yaur natice of commencement."
Camplete Plans,Specifications Must Accompany Application.All work shall be perfarmed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEPORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MCINTHS 1NITHCiUT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRCITECT CARD FROM {NEATHER
. . � - ����=� -.
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City of Zephyrhills �� 1
BUILDING PLAN REVIEW COMMENTS �� � �i�
Gf/� �����n'1
Contractor/Homeowner: l.�i'l�� �����f� �'��'n � G�•
. �� �
Date Received: �� ZZ�(p
� � �i�Q.� r�'�y�"m��y.�
site: � �3 �D �j c�
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Permit Type: < � �(-Q. ZI��Gf� � �
�
Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
/�/ S-�/��� �� s���/ �� �.��
This comment sheet shall be kept with the permit and/or plans.
�-:3�-/� , ---
Kalvin S itzer—P iner Date or Homeowner
, (Required when comments are present)
. _ � � iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiiiiiiiiiiiiiiii -.
2016052771
Tax Folio Number: 11-26-21-0010-00700-0130&O15
State of: Florida Rept:1761201 Ree: 10.00
DS: 0.00 IT: 0.00
County of: Pasco 04/06/2016 K. R. M., Dpty Clerk
PRUL4i S 0'NEIL,Ph.D Pq5C0 CLERK d COMPTROLLER
04/06/2016 02:12pm 1 of 1
NOTICE OF COMMENCEMENT OR BK 9348 P� 2302
The undersi ed hereb ives no.tSce that im rovement will be made to certain real ro e and '
� Y g � P p p rty, ,m accordance w�th
Chapter 713,Florida Statutes,�he following information is provided in this Notice of Commencement.
1. Description of Pro�rty:
PARCEL 1:
Lots 13 and 14,Block 7,CITY OF ZEPHYRHILLS,as per plat thereof recorded in Plat Book 1,Page
54,Public Records of Pasco County,Florida.
2. General Description of Improvements: addition
3. Owner Information:
a. Name and Address: SUSAN A. MORROW,7951 Ponds Edge Lane,Zephyrhilis,Florida 33540
b. Interest in property: Fee Simple
c. Names and address of fee simple title holder(if other than owner):
4. Contractor: Sunstate Aluminium Cp(5� t O�� ���JcJ �-C� Z����,r��,��S C'
��.
� 3�s�Z
5. Surety: ' {�. ��
6. Lender:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13(1)(a)7.,Florida Statutes.
8. In addition to himself,Owner designates the following persons to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b),Florida Statutes.
9. Expiration date of Notice of Commencement(the expiration date is 1 year from date of recording unless a
different date is specified): [User Input as to the date of expiration of the Notice of Commencement].
LJP�C=—�:^,n��c��
SUSAN A. MORROW
m�
Swom to and subscribed before me-A�-31,2016 by SUSAN A. MORROW who is personally known to me or who
did provide drivers license as identification and who didldid not take an oath.
� �j°:°"BiE, SHEARI MINER
?��'���' ►,lYCOMMISSIO��OFF90�i8
Notary P blic *.'�'la� Bm�ieedlie BudpeAlHo6n�Zsa�rim
My Comm' ion Expires: '�o�M1�'
(Notary Seal) ��D1�'��v�
�TATE OF FLORIDA,COUNTY OF PAS�O
�.°bt� • ° ' , e ��
THIS 1S T0�CERTIFY THAT THE FOREGOING IS A � • A
TRUE AND CQRRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � o f„y;�rtive�,�r � � �
WITN �MY HAND AND OFFICIAL SEAL THIS � • a••�, � �
� ' --DAY OF 2� . O�� •
PAULA S.O' EIL,CLE K�&COMPTROLLER � � ,. ��g� . �
gY DEPUTY CLERK ���d����p�l��
r
� Illllllllllllllllllllillllllllllllllllllllllllllllllllllllll�
• 2016052772
� _..- ------- �
Rept:1761201 Ree: 19.09 '
DS: 0.00 IT: 0.00
04/06/2016 K. R. M., Dpty Clerk
. .__ -- - - --- ---'
Permit No. Parcel ID No
�' NOTICE OF COMMENCEMENT
Slate of� ����� County of
THE UNDERSIGNED hereby gives nolice�hat improvemenl will be made lo cerlain real property,and in accordance wilh Chapler 773,Florida Stalutes,
� lhe following informalion Is provided in lhis Notice o(Commencement: �..�f
1 Descdplion of Property� Parcel Identificalion No. c�4"" J�O '�'2� ���� Q� ����
Slreel Address: � S C
2. GeneralDeseript r �� ��Q �iQ�� `""�� ���L--""'
3. Owner Inlortnation or Lessee infortnation if lRe Lessee contracted tor the improvement:
��� � 1�1 �`�i
�� 1 '�ame + �m�L-��C -�-1 l �A�'�. 8 �1 D S���J�rQ pZ
1J C�1
Address Ciry State U��1
f
Interest in Pmperty�
Name of Fee Simple Tilleholder:
(If diHerent from Owner listed above)
Address � Cily � Slale
4. Conlractor:
�_��`�= � ���a ��D �� 5 �[ �
� Address � ���� ���Y Slate
Conlrector's Telephane No.�_ �'�
A a
. O�v
s. surety: �L� �.l Q-���� , ' a m v�
Name �K.-\I�I�SZ �, , �N o
Address �--�(� Cily Slate �w m m
Amounl of Bond: 5 -�J�� Telephone No.: �V,/m r=
Wm z
N
6. Lender. ,�•• o
Name �MN D
Cit State r,�3 �
Address Y o
Lenders Telephone No. �
��+�
7 Persons within the State of Florida tlesignated by the owner upon whom notices or other documents may he served as provided by ��.' �
Section 713.13(1)(a)(7),Florida S�alules: '�v+�a^ `a�'� � �'
� w�+o' �aV ! •� �
Name �� v
I w o ��J�
Address City Stale � _
Telephone Number of Designaled Pe[son: • A�•• �� �� `'�4�� �
8. In addilion to himselt,lhe owner designales o(_ � � � o �
to receive a copy o(ihe LienoYs Nolice as provided in Section 713.13(1)(b),Florida Statutes. � eQ � , � � �
Teiephone Number of Person or Entity Designated by Owner. �i9 ,� • �
9, Expiration tlate of Nolice of Commencement(lhe enpiration dale may nol be before the completion of construclian and final payment to 1he ,'��Q'
conlraclor,Dut will be one year from lhe date of recording unlass a diHerent date is specified): ����A + � �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT a- � •� �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 71�, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR lMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
WITH YOUR L NDER OR AN ATfOR EB BEFORE�COMMENCING WORK OR RECORD NG YOUR NOTI�CE OF COMMENCEMENTSULT
Under penally of perjury,I declare that I have read the foregoing nolice of comm cement and that the(acts stated therein are true to Ihe best �
of my k�owledge and belief. � , Q�. � �
STATE OF FLORIDA � � W LL Cn � W J
COUNTY Of PASCO � � U
Signature o(Qwner or Lessee,or Ownefs or Lessee's Aulhonzed U (' ?O= J
OfficerlDirectorlPartnerlManager N Z V �� � � F—
Q. (� � a N � W
� _
Signa/t�ory's Titl / Kce '/ � w � � � Q, p
� /�/�� �/ �ET/� ffi/C''Kh1l4stl � "' � g
The loregoing inslrument vias acknowledged befo�e me this�day of/"U iy�Zq�Q.bY 0
as (l y p e o(a u l h a ri t y,e.g.,oKcer,lrvstee,anomey in facl)for �O��V V
� �$O (name o arty on b hal(ot whom ins ment w executed), z =O O �j,., p�
Nota Si naW � ~ �w LL �
Personally Known Produced Identificatio� �Y 9 •
Type o(iden6fication Produced Name(Prinl) � � �� V =O (�� �- _
'ii"•• SHIADENKOELCdifO Q 1— f-J Q V ,�
=;� �'`• MY COMMISSION A EE 198&57
. � �W��Z pJ
' .,., EXPIRES:Juna28,2U18 .
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� r SUN�STATE ALUMINUM, INC. .
- 1 6154 Fort King Rd.
� ' ' : ,ZEPHYRHILLS, FL 33542 _
�� � � � (813) 788-7308
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SUBMIiT,�D TO p,.,. ,,,��- ' PHONE DA�� �
� �,�,-.� ��r�Q �'"' 1�, �, C,�--° ��'�1 C;��.- �1�1 � `�41�3 h_ � 1� ' �L�
STREET � ' � JOB NAME �
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CITY,STATE a d�l CODE ��`��7,_ ` ,.,...��r � JOB LOCATION
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ARCHITECT ` ' � � DATE OF PLANS � � " � JOB PHONE
—�We�retiu submit specifications arid estimates for:
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< ����E`�D�rALt here�y.to furni�aterial;arlsL'la_,�or—complete in accordance with above specif'cations;for the sum of:
\' �`'� ..,.,.��--''�` �-��'�JY�. , doilars($ �) �''').
Paymenf to be made as follows: _
I All unpaid balances subject to 1.5%monthly interest fee. �.,,__:_�----;,-;,_,...;�.���.,,—�"'""""�, �_�-A--.,,�
..4-�-•-- r--- _.�._..r..----�-•�''---�"r1.,,
All material is guaranteed to be as specified.All work to ba completed in a virorkmanlike �r^"��,,_ ,.r.,��.,,�,,.-...- „_..,,_,...--�._�,�,...
manner according to standard practices.Any alteration or deviation from above specificationsl''�GfhO�rzBd�� y�'�•""""""'�' >
-��i natdre��..-.--.-----.�-�.`°"�.---�---�-^.
,involving extra costs will be executed only upon written orders,and will.become an BxVa� �____ _
cherge ovec and above the estimate. All agreements contingent upon strikes, a 'ccde ts �r.---�'�
o�delays beyond our control.Owner to carry fire,tomado and'other necessary insurance. otA'-f�iis proposal may be '
Our workers are fully covered b'y Workman's Gompensation Insurance. withd�awn by us If not aCCepted within days.
�CCC�ItYI�CE Df �CliOI�lr�Ct—'ihe above prices,specifications ���� /� _-
and conditions are satisfactory and•are hereby eccepted. You are authorized Signature-/ `""�'��`�`'���-�
to do the work as specified. Payment will be made as outlined above., �
Date ofAcceptance: _ I � � �f r��' Signature
�- - ` � v I�IIII!��III Illli IIIII i�Ili IIIII II��I IIIII�IIII�IIII IIII IIlI
2016052771
Tax Folio Number: 11-26-21-0010-00700-0130& O15
Rcpt:1761201 I�ec: 10.00
State o£ Florida DS: 0.00 IT: 0.00
County of: Pasco 04/06/2016 K. R. M. , Dpty Clerk
PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
04/06/2016 02:12pm 1 of 1
NOTICE OF COMMENCEMENT OR BK �3,4� Pc �3��
The undersigned hereby gives notice that improvement will be made to certain real property, and, in accordance with
rhaptei'713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of Property:
PARCEL 1:
Lots 13 and 14, Block 7, CITY OF ZEPHYRHILLS, as per plat thereof recorded in Plat Book 1,Page
54, Public Records of Pasco County, Florida.
2. General Description of Improvements: addition
3. Owner Information:
a. Name and Address: SUSAN A. MORROW, 7951 Ponds Edge Lane,Zephyrhills,Florida 33540
b. Interest in property: Fee Simple
c. Names and address of fee simple title holder(if other than owner):
4. Contractor: Sunstate Aluminium Co(�� -t'Oe-� ���5 �� ����;�� ,,`S � '�
5. Sure : ��S�Z
ty ��'�\
6. Lender:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by Section 713.13(1)(a)7.,Florida Statutes.
8. In addition to himself,Owner designates the following persons to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b),Florida Statutes. I
9. Expiration date of Notice of Commencement(the expiration date is 1 year from date of recording unless a
different date is specified): [User Input as to the date of expiration of the Notice of Commencement].
z A�r����
SUSAN A. MORROW
G`cla�c� !
Sworn to and subscribed before me-#�r�i�31,2016 by SUSAN A. MORROW who is personally known to me or who
did provide drivers license as identification and who did/did not take an oath.
� tip0.Y P�Qf SHERRI MINER
��'���'�c* MY COMMISSION#FF 903238
Notary P blic � EXPIRES:August2s,2o1s
My Comm' io�Expires: �''+�oF�,oP`°� BondedThruBudgelNotaryServkes
(Notary Seal)
�
���H`�'RHf(�LS Fl�� ��PA��f'��hl�
6907 Dairy Road, Zephyrhills, FL 33542
FB�E SERVICE USER FEES
Occup�ncy No.:
Plan No.: Contractor:
Business Name: ��,n.}f4ft �� /� Billing Address:
Business Address:
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES IIdSPECTIOId FEES PERMIT FEE FALSE ALARM FEE
Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C
�Multi-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C
(Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C
❑ Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRIkKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTENIS Fuel Tanks- Per�ank $50
STMEDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100
� Per Riser $50 Hydrostatic Test $65 per syslem Fire Works $500
FIRE PUAAP Acceptance Test $45 per syslem Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARAA SYSTEM Hood/Duct $50
0-25 Devices $50 FIRE ALARM SYSTEAA Place of Assembly $50 Mnual
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEAAS Recall Acceptance $50 Flammable Application $50 Mnual
Wet $50 OTHER Waste Tire Storage $50 Mnual
Dry $50 Fire WaIl/Smoke Wall $15 Perwan Generator<KW $100
CO2 $50 LP Gas $25 per tank Generator>30 KW 150
Other $50 Natural Gas $25 persystem Bio-Hazard Waste $100 Mnual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10'or greater $15 per tent Torch PoUApplied $50
OTHER Fire Pump $45 Haz.Materials $100 Mnua�
LP Installatlon per tank $50 Fire Suppression $30
Fuel Tank Installation $50 System Acceptance
(Per Tank) $50 Exhaust Hood/Duct $30
�Natural Gas Installatlon $50 Re-inspection DBL
(Per System) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL
and cancelled less than 8
24 hours
� Construction Insp. N/C
�� Emergency Vehicle A� $50 FALSE ALARM
PLANS TOTAL .S INSPECTION TOTAL� �PERMI�T �� TOTAL�
t
GRAIdD TOTAL �
Comments:
Date: � �3�' �G ,
Inspector: / .
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813-780-0020 City af Zephyrhills Permit Application Fax 813-780-OQ21
� � Buitding Department
Date Recelved ���- p}�one Canta�t for Permtttin —
Owner's Name ��� ���C� � \; '� Owrner Phane Kumber
Owner's Address � �"� � OwnerPhone Number � �
� � i t_ o� au--� �� � �
Fee Simple TI#leholder Name Owner Phane Number
. �
Fee Simple Tltleholder Address �
JOB ADDRESS ��� � �p S�`'S '"2 C�V� l�� LOT# C�
, su�oivisiata i � PARCEI.ID# �
__ • _ _ - _ _,�_ —_ -� - �- (OBTAINHD FROM PROPERTY TAX NOTICE)
WORK FROPQ38D � NEW CONSTR ADDIALT � 31GN Q Q DEMOLISH -
e INSTALL � REPAIR
PROPQSED USE Q SFR Q COMM �� OTHEi2
TYPE OF CONSTRUC710N Q BLOCK " Q FRAME G� STEEI. Q
DESGRIPTIQN OF WQRK `.lst O�{`� �t �� �L..f,i� �,�Q,p O F=t �
BUILDING SIZE �� � SQ FOOTAG£ �5 HEIGHT t,..2 t �
QSUI�DING � �.�� VALUATtOI�i`OF l'OTAL CONSTRt1C`TION
(
QEL�CTF21CA1. �� AMP S�RVICE � PROGRESS Eh1E32GY Q W.R.E.C.
OPLUMBING � �
QMECNANICAL $ VALUATION OF MECNAEtiE1CAl.iiVSTALLATION � " � �
� c
[�C�AS � ROOFEf�tG Q SPECIALTY �� QTHEFt
FINISHED FLOOR ELEVATIONS �1� FLOOD ZONE AREA QYES. NO
BUt�DEEt - .!""�-.-�---� - - � `���Y�� �� �(5���--�Z.
SIGNA7 "'�^~� REGIS7ERED Y/ N FEE CURRE� Y/N
� Address cr�l '�.�` Ll se#
s �
��/ a.� � � � � 1
ELECTRtfF C��f��" � COMP Y '�' ,
SIGNATURE �" REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
PLUNIBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ��y License# �— � �
�3 COl91PAbIlt �,,j
ECNANtG �
IGNATURE �`�'� �`���'��P.�I� REGISTERED Y:/ N FEE CURRE� Y/-N' ��UC
Addr�ss License# �t�~
B�zl
OTHEit �pMpp�y .
S1GNA7URE REGISTERED Y/ N . FEE CURRE� , Y L N
Address � - license# � �
REStDENT1AL Attach(2)Piot Rlans;.{2}sets of:BuElding Pfans;(1}set of Energy�Forms;R-O-W Perls�lt fo,r'new construa�on,
Minimum,ten;(40)worlcing days,after:submiftal date. Requlred onsite,Constructlbn�Plans;�°Stormwater Plans w/Silt Fence installed,
Sanitary Fac'ilitles&.1.dumpster_Site Work�Permit for subdivisionsflarge proJects�•• "
COMMERCIAI. Attach{3}cbinpiete sets`af Buiidlri`g'Plaris plas a�ife Safety Page;{1)set af Energy Forms.R-O-W Perm4t for new constructlon.
Minimum ten(10)working days'after submittal date. Required onsite,CansUucUan Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes&1 dumpster.Site WoMc Permit tor all new proJects.All commercial requtrements must meet comptlance
StGM PERMIT Attacli"{2}sets af Englneered_F.lans. : ��
•"`«PROPERTY SURVEY required for_all NEW canstrucUan.
dlrecttans:
Fill out applicatlon completely.
Owner&Cantsactar sign back-of appl(callon,notarized
1f over�2500,a NaUce of Caenmenc�merst 1s required. {A!C upgrades ovsr$7540)
'" Agent(for the�contractor)ar Powerof Attomey(for tFie owner)wou,ld,be someone with notarized letter from owner authorizing same
OVER THE COUNTER�FERMITTING {Front af Applicarion Oniy) ��,
Reroofs if shingles Sewers ` Service Upgredes A/C Fences(Plot/Survey/Footage)
Drfveways-Not over Gounter if an public rbaduvays..needs ROW
� ' �
� NOTICE OF DEED RESTRICTIONS: The undersigned under�tands�,that-this,permlt.may.be,subject to."deed"restrictions" : ..
�� �la lo s � �e"un e sl ed a
which may be5more'restrictive-thaln County regu t n . Th d r gn ssumes�responsibili'ty for�compliance witli any
applicable deed restric4lons. - •
UNLICENSED CONTRACTORS��AND -CONTRACTOR RESPONSIBILITIES: -�If•the ownerhas��-hired a contractor or
contractors to undertake work, they may be requfred�:to::be�Ilcensed In accordance.with�state.and�local regulations: �If the �
contractor�ts not Iicensed as required-by law; both the ovmer and conVaator-may be-cited�for a�misdemeanor violation
under state law. If the owner or intended>,,contractor-are,uncertain as to what Iicensing.requirements.may�-apply�or-the �
intended work, they are advised to contact ttie`PaSco County Building�Inspection Divl§iori—Licensing Section at 727-847-
8009. Fu�thermore, if the owner has hlred" a contractor o� contracfors, he ts advfsed to have the contractor(s) sign
portions of the "contractor Block" of this appltcation for which they wlll.,b,e responslble. .If.you„as.,fhe oinrner sign�as'the
cant�actor, tfiat�may be an indication that�he�is not.properly�licensed and"is not-entitled to perinitti�ig-privi�eges in Pasco
County. � �
TRANSPORTATION..IMPACTIUTILITIES=IMPAC�ANb RESOURCE RECOVERY�FEES:The undereigned understands
that Transportation Impact Fees.and.Recourse Recove.ry.Fees may��apply�to�the construction of new bulidings,ichange of � .
use in existing buildings,�or:expansion-�of-�existin�:�Eiuildings, as speclfied.in i�ascQ�County Ordinance number 89-07 and • �
90-07, as amended. .The undersigned also�.understands, that such fees��.as�may_be�.due;,:will.�be (dentified at the�time of� �
permitting. It Is further understood that Transportation Impact Fees and�Resource Recovery"Fees must be paid prior to
receiving a °certificate.of occupancy" or flnal power=release. .Ifi=the project does not involve:a.certiftcate of occupancy o� °
final power release,,,the�fees mu�t�be paid prlor to permit Issuance. Fu�thermore;if Pasco County�Water/Sewer-lmpact
fees are due,they.must.be_pald:prlor to permit•Issuance-in accordance with applicable Pasco:County ordinances.
CONSTRUCTION"LIEN"LAW(Cfiapter 713� Flor�da Statutes,a�amended): If valuation of work is$2,500.00:or more, I
certify that 1, �he appiicant,_ have-been provided with a copy of the� "Florida Constructlon� Lien .Law=Homeowne�'s
Protection Guide" prepared by the'Florida DepartmenC of Agric.ulture and Consumer Affairs. If the applicant is someone ,
other than the"owner", I certify,that I have.obtainedfa copy of the.above.�fes.cribed document°and p.r.omise in,good faith.to
deliver It to the."owner."-prior to�commencement: �
CONTRACTOR'SIOWNER'3 AFFIDAVIT: I certity tliat all the:Information.in this application is accurate and that all work
will�be done in compliance with all applicable laws regulating construction, zoning and�land�development. Appltcation is
hereby made to obtain .a permit to do.:work..and installatlon as Indlcafed:� 'I cectffy-that no work�;or Installation has
commenced prior to issuance of a permit"and that.all wark will be pertormed to meet standards of all laws regulating-
, construction, County and City codes, zoning regulations� and land development cegulations-in the jurisd(ctton. I also
certify that I u�derstand that the regulatlons of other government agencies may�apply�to the intended work, and that it is
my responsibility to identifjo.what.actions I must take:to be=in�.corilpllance; S,uch agencles include but are.not Ilmited to:
- Department of E�lvironmental:Protection-Cypress Bayheads; Wetland Areas and Environmentaliy Sensitive
� Lands,WatedWastewater Treatment.
- Southwest Florida Water Management� Distrlct-Wells, Cypress.��Bay.heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls; Docks, Navigatile Waterways,
- Depa�tment of Health & RehabiNtative Seni(ces/Envitonmental Health Unit Wells� Wastewater�Treatment,
Septic Tanks. � � ,
- US Environmental Protection Agency-Asbestos abatement.
- Fede�al Aviatton Authority-Runways.
' I understand that the follow�ng,restrictions apply to the use of flll:
- Use of fill is not allowed in Flood Zone"V"unless expressly permttted.
- If the fiil material is to`,be used:In Flood�Zone. "A", It. is understood that-a drainage plan addressing a
� °compensating volume" will be submitted at time of permitting which is prepared by a.professional engineer
.,, Iicensed by the;5tate-of Florida.
- If the fill material.fs to ,be used In Flood Zone °A" in�connection�wlth:a pecmitted building using stem wail
� construction., I certify that fill�.wall�be used only.to.fill the area within the�stem•wali.
- if flll material is �to be used fn any area, I �certify that use of such�flll will not adversely affect adJacent
properties. If use of fill Is found to adversely.,affect adJaeent propertles, the owner may be clted for violating
the conditions of tiae'"buildfng:.perm(t issued under the attached permit application, for Iots less than.one (1)
acre which are elevated�by�flil,aR engineered dralnage plan is required. .
If I am the AGENT FOR THE OWNER, Itpromise in good faith to Inform the•owner of�the_permitting-condittons set forth tn
this affidavit prior to commencing construction. I understand that a�separate permlt may be requtred for elecMcal �rvark,
plumbing, signs, wells, pools, air condittoning, .gas, or othec tnstallattons not•specifically included�dn.the application. .A .
permft Issued shall be constcued to be a`Iicense to�p�oceed with the work and not as.authority to,vlolate,.cancel, alter, or
set aside any provisions of the.techn(cal.codes;�nor shall issuance�of a.permit.prevent the Bulidirig Official from thereafter ,
requiring a correction af eRors In.plans, consfn�ction or violat(ons of any codes. Every permit fssued shall become invalid
unlesa the work authorized.by such permlt•Is-commenced•withln sfX months of permit fssuance. or If wo�k authorized by
the permit is suspended or.abandoned for a:period;of�six E8)�months.-after the tirne the�work is commenced. An extension
may be requested, in writing, from the Building,Official for a period.�not to exceed ninety(90) days and will demonstrate
justifiable cause for.the extension. If work ceases:for ninety(90)consecutive:day.s�..the Job is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE�TQ.,REC.O�tD:A NOTIGE:OF-COMMENCEMEMT;MAY=RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUf�.PR�OPERIY. IF YO.U�IN'FEND"T��OBTAIN�-FINANCING;�CONSULT
WITH YOUR ENDE O' AN ATTO NEY�B FORE� ECO � G:�YOU � O � CE'OF�' �' Id '
FLORIDA,iURAT(F.S.11 ' �- ------
OWNER O - C
Subscri efore me this sc � e re me ttiiffi --
_-- .by . -
WF�o Is/are pe►sonally knovm to.me or has/have produced Who Is/are p.eraonally known to me or has/have•produced �
as'Identlflcatlon. � as 1 entlBcaUon.
Notary Public Notary Public
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